3 key points 1. Nothing happens in isolation. 2. We are designed to change, grow and develop. 3. Nothing is permanent. Bearing these fundamental points in mind, we seek to create and then cultivate the right conditions so that we may move forward in life. In terms of rehabilitation, we also look to create the […]
Two excellent talks for athletes
July 16, 2013 By
Both talks are inspiring and demonstrate courage, perseverance and motivation in the face of the enormous challenges that were presented. In performance and rehabilitation, mindset is a key determinant and in many cases several skills must be developed, including resilience and coping strategies. In the first video, Janine Shepherd talks about her experience of recovery […]
Rehabilitation of thinking – A key element in maximising performance
August 21, 2012 By
The rehabilitation journey following an injury must be traveled with full commitment and completed. Usually when we talk about rehabilitation, it is the exercises that are focused upon: the movement, the task, the goal and how much to do. Nothing wrong with this of course as the training parameters are important to understand the effects […]
Manual therapy, pain and the immune system
February 11, 2012 By
As a physiotherapist I frequently use my hands to treat the joints and tissues. It comes with the territory, everyone expects hands-on therapy and it does helps to reduce tension and pain. Most likely, the pain relief from joint mobilisation is due to descending mechanisms that include those that are powered by serotonin and noradrenaline […]
Chronic pain in sport – Specialist Clinic in London
February 3, 2012 By
Chronic pain is a real problem in the sporting world. The effects of not being able to participate are far reaching, especially when sport is your profession. There are a huge numbers of clinics offering treatments to deal with pain and injury and in many cases the problem improves. However, there are those who do […]
Can’t get over that skiing injury?
February 1, 2012 By
To the skier, the thought of watching friends and family clumping off in their boots towards the lift whilst sitting with a leg up, packed with ice and the daily paper, is intensely frustrating. Injuries happen. In many cases with the right early treatment, perhaps surgery and definitely a thorough rehabilitation programme, the symptoms resolve […]
Central sensitisation is more common than you may think
January 21, 2012 By
Clifford Woolf recently said this about central sensitisation: Nociceptor inputs can trigger a prolonged but reversible increase in the excitability and synaptic efficacy of neurons in central nociceptive pathways, the phenomenon of central sensitization. Central sensitization manifests as pain hypersensitivity, particularly dynamic tactile allodynia, secondary punctate or pressure hyperalgesia, aftersensations, and enhanced temporal summation. It […]
Back Pain and the BackCare Charity
December 19, 2011 By
Back pain is an enormous problem that impacts upon individuals and society. Most people will experience back pain at some point in their lifetime and a proportion will suffer continuing and recurring problems. Those who do continue to experience pain require effective treatment and strategies so that the impact and the distress that it can […]
Healthy tissues in 1-2-3
December 19, 2011 By
The simple fact is that our tissues need movement to be healthy. By tissues I am referring to muscles, tendons, ligaments, bones, fascia and skin. This does not need to be extreme movement but it must be regular and purposeful. Even without pathology, pain or an injury it is vital that the tissues are moved […]
Understand pain in a few minutes
October 31, 2011 By
Readers will be familiar with the importance that I attach to the explanation of pain. The data on the benefits of understanding pain is good and growing. This includes a raised pain threshold and an increase in range of movement–the straight leg raise (SLR). The more we understand about the power of language and learning, […]
